Report of 2 cases of abdominal cocoon.doc

 PAGE \* MERGEFORMAT 8 Report of 2 cases of abdominal cocoon Abdominal cocoon is a rare abdominal disease, characterized by some or all of the abdominal organs is a dense, gray, quality and tough, hard-coated by a thick fibrous membrane, the shape of cocoons. Lifelong asymptomatic patients can also be acute intestinal obstruction or necrosis. now 2 cases in our hospital were reported as follows A case report Example 1. Patients Zhu × ×, F, 41 years old, physical examination revealed right attachment area due to cysts 20 days of admission. Patients usually menstrual regularity 6 / 30 days, the amount of medium, without dysmenorrhea. Did not have children. Annex zone found in the examination package block, intravenous antibiotics after his review, no shrinking. examination: general condition good, gynecological examination, anterior uterus, the size of normal, right side of the attachment area can reach the size of duck eggs cystic mass, the boundary clear, the activity is good, tenderness was on the left side without palpable abnormalities. ultrasonography. morphologically normal uterine size, the right to explore and annex area 6.2 × 3.9,3.3 × 3.1cm cystic structure, the former boundary conditions, thin wall smooth, the latter through poor sound, and its 2.1 × 1.1cm in the other see the light echo groups. admission diagnosis: right attachment zone cyst. in the 2009-5-22 spinal and epidural anesthesia in laparotomy. intraoperative see: no obvious wall of the peritoneum the surface of the abdominal and pelvic organs as a layer of silk-like fibrous membrane covering, uniform and compact, bowel, omentum, uterus double annex are wrapped in them, and the parietal peritoneum and no boundaries. Annex zone along the abdominal wall and the separation between the careful fiber membrane, seemed to palpable in the membranous tissue cysts, fibrous tissue separating membrane to the surface of ovarian cysts, see the right ovary increased about 6 × 5 × 5cm size, cystic, e